<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('R_user_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-r_user_id" data-rule="required" data-source="r/user/index" class="form-control selectpage" name="row[r_user_id]" type="text" value="{$row.r_user_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('L_user_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-l_user_id" data-rule="required" data-source="l/user/index" class="form-control selectpage" name="row[l_user_id]" type="text" value="{$row.l_user_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-status" data-rule="required" class="form-control" name="row[status]" type="number" value="{$row.status|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
